participant release and waiver form - National Cheerleaders ...

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
TEAM NAME:
VIDEO QUALIFICATION
Registration Fee for All-Girl Group Stunt, Mascot, and Partner Stunt is $25 per group or mascot.
This form must accompany your video.
Please be sure to check the division in which your squad fits.
q Cheer
q Dance
q Partner Stunt ($25 Entry Fee)
q Group Stunt ($25 Entry Fee)
q Mascot ($25 Entry Fee)
Fill out all information and send entry form, check and video to:
NCA & NDA College Nationals Video Qualification, 2010 Merritt Drive, Garland, TX 75041
CONTACT INFORMATION
Name of Team as it should appear on Performance Order
Street Address (no P.O. Box Accepted)
City
State
Zip
Work Number
Fax Number
Coach - All correspondence will be forwarded to the address of the Coach
Contact Email Address
Street Address (no P.O. Box Accepted)
City
State
Zip
Home Number
Cell Number
Fax Number
DIVISION:
Refer to page 10 (cheer) and page 41 (dance) of the 2013-2014 College Rule Book to verify division requirements.
The College Rule Book can be found online at nca.varsity.com and nda.varsity.com.
I certify that all participants who perform on the enclosed video are current eligible members of the school and squad being
represented and meet the eligibility requirements set forth by NCA & NDA and the respective school.
Coach Signature